Laparoscopic approach to symptomatic meckel diverticulum in adults

Maen Abul Hosn; Moustafa Lakis; Walid Faraj; Ghattas Khoury; Samer Diba

doi:10.4293/JSLS.2014.00349

Back

Laparoscopic approach to symptomatic meckel diverticulum in adults

Journal article

Open access

Laparoscopic approach to symptomatic meckel diverticulum in adults

Maen Abul Hosn, Moustafa Lakis, Walid Faraj, Ghattas Khoury and Samer Diba

Journal of the Society of Laparoendoscopic Surgeons, Vol.18(4), p.e2014.00349

10/2014

DOI: 10.4293/JSLS.2014.00349

PMCID: PMC4254485

PMID: 25489221

Files and links (1)

url

https://doi.org/10.4293/JSLS.2014.00349View

Published (Version of record) Open Access

Abstract

Meckel diverticulum (MD) is the most common congenital gastrointestinal malformation found in approximately 2% of the general population. MD manifests in adults as gastrointestinal bleeding, bowel obstruction, intussusception, or perforation in <5% of cases. There is no consensus on the ideal management strategy in symptomatic MD. Therefore, we searched the literature to highlight the role of laparoscopy in diagnosing and treating symptomatic MD. We used PubMed, Medline, Google Scholar, Ovid, and Cochrane data search engines looking for articles containing terms such as Meckel diverticulum, ectopic gastric mucosa, laparoscopic, technetium 99m pertechnetate, and acute management. We included articles reporting on case series in the English language on adult patients only and reporting on laparoscopic approach in the management of symptomatic MD. A total of 5 articles reporting on 35 cases were found. We report on the pooled data from these series with emphasis on number of patients, age, male to female ratio, length of stay, conversion to open procedure, method of resection, complications, first presentation, and confirmation of diagnosis preoperatively. We also compare the results of laparoscopic versus open approaches mentioned in the literature. The laparoscopic approach was found to be effective as a diagnostic and therapeutic modality in patients with symptomatic MD; however, its adoption as the gold standard still needs further studies with larger patient numbers.

Meckel Diverticulum - complications

Intestinal Obstruction - etiology

Laparoscopy - methods

Humans

Adult

Intestinal Obstruction - surgery

Meckel Diverticulum - surgery

Details

Title: Subtitle: Laparoscopic approach to symptomatic meckel diverticulum in adults
Creators: Maen Abul Hosn - General Surgery Division, American Universiity of Beirut Medical Center, Beirut, Lebanon
Moustafa Lakis - General Surgery Division, American Universiity of Beirut Medical Center, Beirut, Lebanon
Walid Faraj - Clinical Surgery Department, American University of Beirut Medical Center, Beirut, Lebanon
Ghattas Khoury - Clinical Surgery Department, American University of Beirut Medical Center, Beirut, Lebanon
Samer Diba - General Surgery Division, American Universiity of Beirut Medical Center, Beirut, Lebanon
Resource Type: Journal article
Publication Details: Journal of the Society of Laparoendoscopic Surgeons, Vol.18(4), p.e2014.00349
DOI: 10.4293/JSLS.2014.00349
PMID: 25489221
PMCID: PMC4254485
NLM abbreviation: JSLS
ISSN: 1086-8089
eISSN: 1938-3797
Publisher: United States
Language: English
Date published: 10/2014
Academic Unit: Surgery
Record Identifier: 9984051879902771

Metrics

21 Record Views

18 Times Cited - Web of Science